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Rick Powell Insurance Agency - CA Business Insurance

BUSINESS OWNERS INSURANCE QUOTE


Rick Powell Insurance Agency LLC provides competitive California Business Insurance quotes with industry leading, A rated carriers. We would like to provide you with a free, no-obligation Business Owners Package (BOP) insurance quote. Please provide as much information as possible for the most accurate quote. This information will be kept confidential and will be used for quote and/or policy purposes only.

Business Insurance Basic Information

General Information
Name:
Address:
City: State:
Zip:
Business Phone:
Best Time To Call: AM PM
Email:
Location Address
(type "same" if same as above):
City: State:
Zip:


Property Questions
Age of building
/Year Built:
Type of building
construction:
Number of
stories:
Other
occupancies:
Square feet
you occupy:
sq. ft.
If the building is over 25 years old, please answer the following:
Year Electricity was updated:

Is it on circuit breakers?:

Yes No

Year Plumbing was updated:

Copper or Galvanized plumbing?:

Copper Galvanized Other:

Year Building was last re-roofed:

Type of roofing material:

Type of heating system in the building:


Protective Devices
Burglar Alarm:
Central Station
or local alarm?:
Name of
alarm company:
Is the building
sprinklered?:
Are there
smoke detectors?:
Y N
 Central Station
Local Alarm
Y N
Y N


Liability Questions
Please provide information on previous insurance carrier:
Previous Ins. Carrier:
Policy number:
Prior premium:
Policy renewal date:
$
Please provide information about your business:
Years in business:
Projected Gross annual receipts:
Projected annual payroll:
$
$
Describe your business, product or service:


Coverage Limits
Building:
Contents (equipment,
inventory, supplies, etc.):
Deductible:
Loss of Income:
$
$
$
Money and Securities:
Glass or signs:
General Liability Limit:
Non-owned and Hired
Automobile Liability:
Is liquor liability needed?
$
$
$
Yes No
If Glass Coverage is needed, please provide dimensions:
Please list other coverages you may need:


Miscellaneous Information
Name of Additional Insured
(Landlord or vendor):
Mailing Address:
City:
State:
Zip:


Additional Comments
Please give any additional comments you feel appropriate for this quotation. If you have additional information where there was not enough fields above, please enter them here.


Once you click on the "Submit Quote" button you will be automatically re-directed to our home page and one of our representatives will respond to your submission as soon as possible.

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